| NPI | 1073956231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: GA 103478) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: WA 60894787) |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: CA A167567) | |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2025-03-05 |